New method of percutaneous gastrostomy using anchoring devices

Wu, Thomas K.; Pietrocola, Donna; Welch, Harold F.

doi:10.1016/0002-9610(87)90821-x

Cited by 17 publications

(7 citation statements)

References 1 publication

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“…Lap GT is preferred in patients with head and neck carcinoma, patients with obstructing esophageal carcinoma, and patients who have problems with overlying liver or colon. Open GT is reserved for cases with extensive intraabdominal adhesions or those where the procedure is done during an ongoing laparotomy.Cope or Brown-Mueller T-fasteners were used to secure the gastrostomy tube [12]. The lap GT was placed using two 5-mm ports and needle-placed T-fasteners [2].…”

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confidence: 99%

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Gastrostomy for enteral access

Ngo

1999

Surg Endosc

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Gastrostomy can be performed safely by all three techniques, with similar outcomes. PEG is our method of choice. Lap GT is preferred in patients with head and neck carcinoma, patients with obstructing esophageal carcinoma, and patients who have problems with overlying liver or colon. Open GT is reserved for cases with extensive intraabdominal adhesions or those where the procedure is done during an ongoing laparotomy.

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confidence: 99%

“…Cope or Brown-Mueller T-fasteners were used to secure the gastrostomy tube [12]. The lap GT was placed using two 5-mm ports and needle-placed T-fasteners [2].…”

mentioning

confidence: 99%

Gastrostomy for enteral access

Ngo

1999

Surg Endosc

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“…Most devices proposed use stitches to make a suture in the gastrointestinal tract wall. The use of T-tags is not new (14) . As a matter of fact, the first device used for this aim was not for perforation repair, but to treat gastroesophageal reflux disease (13) .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic treatment for gastric perforation using T-tag and a plastic protection chamber: a short-term survival study

Hashiba

Siqueira

Brasil

et al. 2011

Arq. Gastroenterol.

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-Context -The endoscopic gastric perforation is a consequence of some endoscopic procedures and now a way to manage abdominal organs. This is the reason why endoscopists are studying a safe endoscopic repair. Objective -To evaluate an endoscopic closure method for the gastric opening in natural orifice transenteric surgery Design -Short-term survival animal study. MethodsTen White Landrace pigs underwent a gastric perforation of 1.8 cm in diameter under general anesthesia. The opening was repaired with stitch assembled in a T-tag anchor placed through the gastric wall with a needle. A plastic transparent chamber, adapted to the endoscope tip protected the abdominal organs from the needle puncture outside the stomach. Six T-tags were placed in most cases and the stitches were tied with a metallic tie-knot, forming three sutures. The animals received liquids in the same operative day. One shoot antibiotic was used. The leakage test was performed with a forceps and by air distention. Results -No complication was detected in the postoperative course. One month later the endoscopy revealed a scar and some suture material was observed in all animals. The antral anterior gastric wall was clear with few adhesions in the laparotomy performed in the same time. The adhesions were intense in an animal in which a cholecystectomy was performed before the repair. Conclusion -The endoscopic repair using T-tag and a protector chamber is feasible, easy to perform and safe. Further studies are needed to show the real value of this kind of procedure.

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“…At present, the procedures can be broadly classified into two types, i.e., the Pull/Push method and the Modified Introducer method [14]. Percutaneous endoscopic gastrostomy (PEG) has been performed in our department since May 2001.…”

Section: Introductionmentioning

confidence: 99%